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Trial registered on ANZCTR
Registration number
ACTRN12616000616471
Ethics application status
Approved
Date submitted
8/05/2016
Date registered
12/05/2016
Date last updated
13/07/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Effects of exercise timing throughout a day of prolonged sitting on blood glucose regulation
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Scientific title
Effects of exercise timing throughout a day of prolonged sitting on blood glucose regulation in overweight/obese young adults
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Secondary ID [1]
289139
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Obesity
298643
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Type 2 diabetes
298644
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Condition category
Condition code
Metabolic and Endocrine
298705
298705
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0
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Metabolic disorders
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Metabolic and Endocrine
298706
298706
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0
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Diabetes
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Diet and Nutrition
298772
298772
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0
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Obesity
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
This is a randomised, two-condition crossover trial where participants will undergo 2x ~48 h experimental conditions. Each condition will be separated by a minimum 7-day washout period
For both conditions participants will attend the laboratory at ~5 pm on the evening prior to the main experimental trial day (day one) for fitting of a continuous glucose monitoring system and receive a standardised take-home meal for dinner. Participants will also be fitted with an an accelerometer and an inclinometer for measurement of physical activity levels prior and during each experimental condition. Food and activity diaries will also be completed by participants prior to either experimental condition.
On the main experimental trial day (day two) participants will arrive at the laboratory via taxi at ~0730 h. A catheter will be inserted in the antecubital vein of the non-dominant arm at 0800 h and remain in place until 1900 h. Participants will remain seated for the duration of the visit and blood samples will be collected at regular intervals. Identical meals will be provided at 0900 h, 1300 h and 1700 h. . Each meal will contain ~33% total energy intake for the day with a macronutrient profile of 50% from carbohydrates, 30% from fat and 20% from protein. Additionally, participants will perform 30 minutes of aerobic exercise at ~65% VO2max on a cycle ergometer. The timing of the exercise bout will depend on the experimental condition being undertaken. At 1900 h participants will return home via taxi and fast overnight.
Condition A: Exercise will be performed at 0800 h, prior to breakfast.
Condition B: Exercise will be performed at 1600 h, prior to dinner.
Participants will then return to the lab for a follow up (day three) at ~0730 and remain seated for the duration of the visit. A catheter will be inserted in the antecubital vein of the non-dominant arm at 0800 h and remain until 1600 h for serial blood sampling. Participants will be provided identical meals to day two at 0900 h and 1300 h. At 1630 h all monitoring devices will be removed.
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Intervention code [1]
294676
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Prevention
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Intervention code [2]
294683
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Behaviour
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Comparator / control treatment
As this is a randomised, two-condition crossover trial, comparison will be made between the two experimental conditions (morning exercise and evening exercise).
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Control group
Active
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Outcomes
Primary outcome [1]
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Blood glucose area under the curve (using continuous glucose monitoring systems)
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Assessment method [1]
298223
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Timepoint [1]
298223
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The duration of the intervention (~48 h monitoring period)
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Secondary outcome [1]
323561
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Plasma triglyceride area under the curve
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Assessment method [1]
323561
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Timepoint [1]
323561
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Blood samples from hourly time points (and one time point 30 minutes following each meal) across laboratory visits (Day 2: 0800 h to 1900 h, Day 3: 0800 h to 1600 h)
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Secondary outcome [2]
323562
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Plasma insulin area under the curve
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Assessment method [2]
323562
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Timepoint [2]
323562
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Blood samples from hourly time points (and one time point 30 minutes following each meal) across laboratory visits (Day 2: 0800 h to 1900 h, Day 3: 0800 h to 1600 h)
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Secondary outcome [3]
323563
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Appetite scores for hunger and satiety measured using a visual analogue scale on a laptop (composite outcome)
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Assessment method [3]
323563
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Timepoint [3]
323563
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Every two hours during laboratory visits
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Eligibility
Key inclusion criteria
Sedentary overweight or obese [body mass index (BMI) > 25 kg/m2 but < 45 kg/m2] adults with a familial history of type 2 diabetes (diagnosis in a first or second degree relative).
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Minimum age
18
Years
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Maximum age
30
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Pregnancy, use of carbohydrate or lipid-lowering medication, major illness/injury (acute or chronic), current smoker or use of nicotine replacement therapy or physical or major illness/physical problems (acute or chronic) that may limit their ability to participate in the intervention.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Sealed envelopes containing order of conditions.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
An independent third party will prepare a computer-generated randomised sequence and sealed envelope containing the sequence.
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Generalised linear mixed models with random intercepts will be used to compare the impact of each condition on the listed outcomes. We are currently in the process of verifying power calculations, this application will be updated prior to recruitment to include these calculations.
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
16/05/2016
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Actual
15/08/2016
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Date of last participant enrolment
Anticipated
1/12/2018
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
25
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Accrual to date
17
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment postcode(s) [1]
13221
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3065 - Fitzroy
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Funding & Sponsors
Funding source category [1]
293545
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Charities/Societies/Foundations
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Name [1]
293545
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Novo-Nordisk Foundation
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Address [1]
293545
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Tuborg Havnevej 19
2900 Hellerup
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Country [1]
293545
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Sweden
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Primary sponsor type
Individual
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Name
Professor John Hawley
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Address
215 Spring Street-Level 5
Centre for Exercise and Nutrition
Mary MacKillop Institute for Health Research
Melbourne, VIC, 3000
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Country
Australia
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Secondary sponsor category [1]
292356
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Individual
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Name [1]
292356
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Professor David Dunstan
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Address [1]
292356
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Baker IDI Heart and Diabetes Institute
PO Box 6492, Melbourne
Victoria 3004, Australia
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Country [1]
292356
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Australia
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Secondary sponsor category [2]
292360
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Individual
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Name [2]
292360
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Mr Samuel Pinto
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Address [2]
292360
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215 Spring Street-Level 5
Centre for Exercise and Nutrition
Mary MacKillop Institute for Health Research
Melbourne, VIC, 3000
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Country [2]
292360
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
294985
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Australian Catholic University Human Research Ethics Committee
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Ethics committee address [1]
294985
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Manager, Ethics c/o Office of the Deputy Vice Chancellor (Research) Australian Catholic University - North Sydney Campus PO Box 968 NORTH SYDNEY, NSW 2059
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Ethics committee country [1]
294985
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Australia
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Date submitted for ethics approval [1]
294985
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24/03/2016
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Approval date [1]
294985
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24/05/2016
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Ethics approval number [1]
294985
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2016-75H
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Summary
Brief summary
Prolonged periods of sitting are prevalent in the modern office workplace and adversely impact on cardiometabolic risk factors including blood glucose and insulin concentrations. Acute aerobic exercise can transiently improve these risk factors. Evidence suggests that the pattern of exercise accumulation throughout a day and the timing of exercise in relation to meals modulates the beneficial effects it has on these markers. However, the role of exercise timing throughout a day on cardiometabolic risk factors has not been evaluated. The aim of this study is to compare the impact of a morning and evening bout of aerobic exercise on blood glucose and insulin metabolism throughout a day of prolonged sitting. Young overweight or obese men and women with a familial history of type 2 diabetes will be recruited for this study. As this demographic are at an increased risk of developing type 2 diabetes they represent a relevant target population for the prevention of type 2 diabetes. We hypothesise that aerobic exercise performed in the morning, prior to a prolonged bout of sitting and the ingestion of meals will more effectively improve glycaemic control compared to an identical evening bout.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
65618
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Prof John Hawley
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Address
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215 Spring Street-Level 5
Centre for Exercise and Nutrition
Mary MacKillop Institute for Health Research
Melbourne, VIC, 3000
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Country
65618
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Australia
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Phone
65618
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+61399533552
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Fax
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Email
65618
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[email protected]
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Contact person for public queries
Name
65619
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Samuel Pinto
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Address
65619
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215 Spring Street-Level 5
Centre for Exercise and Nutrition
Mary MacKillop Institute for Health Research
Melbourne, VIC, 3000
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Country
65619
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Australia
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Phone
65619
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+61417315194
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Fax
65619
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Email
65619
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[email protected]
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Contact person for scientific queries
Name
65620
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John Hawley
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Address
65620
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215 Spring Street-Level 5
Centre for Exercise and Nutrition
Mary MacKillop Institute for Health Research
Melbourne, VIC, 3000
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Country
65620
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Australia
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Phone
65620
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+61399533552
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Fax
65620
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Email
65620
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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